is a Dental Clinic in Champaign, Illinois. This organization is also known as sub part of Central Illinois Oral And Maxiofacial Surgery, Pc. It is located at 14 E Anthony Dr Ste C, Champaign, IL and its contact number is 217-355-2809. The authorized person for is Pam Hardiek
who is Insurance/credentialing of the clinic and their contact number is 217-540-5100. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
14 E Anthony Dr Ste C, Champaign, Illinois, 61820-2749
Phone:
217-355-2809
Fax:
217-355-5921
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Pam Hardiek
Position:
Insurance/credentialing
Contact Number:
217-540-5100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1851540330
Parent Organization:
Central Illinois Oral And Maxiofacial Surgery, Pc
NPI Enumeration Date:
09 Sep, 2008
NPI Last Update On:
11 Sep, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
14 E Anthony Dr Ste C, Champaign, Illinois
Zip:
61820-2749
Phone Number:
217-355-2809
Fax Number:
217-355-5921
Patients can reach at 14 E Anthony Dr Ste C, Champaign, Illinois or can call to book an appointment on 217-355-2809. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.